MEDICARE: ESTHER ADEOLU OJO PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R230054	MD

General Provider Information

NPI Number	:	1992527253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER ADEOLU OJO PMHNP

Provider Business Mailing Address
First Line	:	3213 FIELDCREST WAY
Second Line	:
City	:	ABINGDON
State	:	MD
Zip	:	21009-2745
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 FIELDCREST WAY
Second Line	:
City	:	ABINGDON
State	:	MD
Zip	:	21009-2745
Country	:	US
Telephone Number	:	443-796-8270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	01/16/2025

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